Dental Office of Andrek J Ingersoll
NPI 1417767161 · Dental Clinic/Center · South Lake Tahoe, CA
Dental Office of Andrek J Ingersoll is a Dental Clinic/Center organization in South Lake Tahoe, CA (NPI 1417767161).
Provider details
- NPI number
- 1417767161
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leeann Blazer, Director of Operations(707) 673-7531
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Frequently asked questions
- What is Dental Office of Andrek J Ingersoll's NPI number?
- Dental Office of Andrek J Ingersoll's National Provider Identifier (NPI) is 1417767161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Office of Andrek J Ingersoll?
- Dental Office of Andrek J Ingersoll is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dental Office of Andrek J Ingersoll located?
- Dental Office of Andrek J Ingersoll's practice location on file with NPPES is 585 Tahoe Keys Blvd Ste 2, South Lake Tahoe, CA 96150-3371.
- What is Dental Office of Andrek J Ingersoll's phone number?
- The practice phone number listed in the NPPES registry for Dental Office of Andrek J Ingersoll is (530) 541-3772.
- Who is the authorized official for Dental Office of Andrek J Ingersoll?
- The authorized official listed on Dental Office of Andrek J Ingersoll's NPPES record is Leeann Blazer, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Office of Andrek J Ingersoll's NPI active?
- Yes — Dental Office of Andrek J Ingersoll's NPI (1417767161) is active in the NPPES registry as of the last update on 2025-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.